HomeMy WebLinkAbout213550 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE CHECK AMOUNT: $150.00
MUNCIE IN 47304 CHECK NUMBER: 213550
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 10/26/12 150 . 00 ADULT CONTRACTORS
invoice.docx Page 1 of 1
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Anna Leno Approver 1wG i D.2—J
2109 N. Rosewood Ave
Muncie,IN.47304
Phone 317.656.7352
Date sent: Oct. 1, 2012
Date of Event: Oct. 26 2012
To: For:
Carmel Clay Parks and Recreation Forest Dale Elementary
Halloween Party
6-8 pm
Service Hrs Rate Total
D]Services 2 75/hr 150..00
TOTAL $150.00
Make all checks payable to Anna Klink
Thank you for your business!
A 10%charge will be added if payment is not received within thirty days as well as for every extra thirty days payment is
not received.
file:///C:/Users/vsimmonds/AppData/Local/Microsoft/Windows/Temporary%201nternet%... 10/1/2012
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Carmel ® Clay
Parks&Recreation CHECK REQUEST
Date: 10/1/12
Check payable to:
Name: Ann Leno
Address: 2109 N. Rosewood Ave
City, State, Zip Muncie, IN 47304
Mail check to payee x Return check to requestor
Check Amount: $150.00
Date Required: October 26th 2012
Check needed for: Site Celebration
Supporting documentation or receipt(s) MUST be attached.
To be paid from: '20-1 0—
Fund 1081-4 Budget Line# 3� d
Budget Line Description D� Nb nvl/\ Ct'��� c 0�
Requested by(print): Valesk Simmonds
Requested by(signature):
Approved by(signature of Division Manager):
on this date
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
364270 Leno, Anna Terms
2109 N. Rosewood Ave
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/1/12 10/26/12 DJ Services FD 10/26/12 $ 150.00
Total $ 150.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No.
364270 Leno, Anna Allowed 20
2109 N. Rosewood Ave
Muncie, IN 47304
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 10/26/12 4340800 $ 150.00 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
4-Oct 2012
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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